Welcome to No Harm Done Episode 14 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we muse over appropriateness and effectiveness.
0:00 QUALITY QUANDARY: The QQ is a big issue we unpack, argue about, talk about conflicting perspectives etc. This time we ponder: what is appropriateness, what is effectiveness, and why does it matter?
Definitions:
IOM dimensions of quality:
https://www.ahrq.gov/talkingquality/measures/six-domains.html
Haynes B. Can it work? Does it work? Is it worth it? The testing of healthcare interventions is evolving. BMJ. 1999;319:652–653. [PMC free article] [PubMed]
9:21 THE POINT: PROS, PROMS
Weldring T1, Smith SM2.Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs).Health Serv Insights. 2013 Aug 4;6:61-8.
Williams K, Sansoni J, Morris D, Grootemaat P and Thompson C, Patient-reported outcome measures:
https://www.safetyandquality.gov.au/our-work/indicators/patient-reported-outcome-measures/
Implementing PROMs: https://catalyst.nejm.org/implementing-proms-patient-reported-outcome-measures/
Patient and Public Involvement in Patient-Reported Outcome Measures.
Staniszewska, S., Haywood, K.L., Brett, J. et al. Patient (2012) 5: 79. https://doi.org/10.2165/11597150-000000000-00000
Melanie Calvert, Maximising the impact of patient reported outcome assessment for patients and society, BMJ 2019;364:k5267 doi: 10.1136/bmj.k5267 (Published 24 January 2019)
19:55 TOO LONG DIDN’T READ (TLDR): The Australian Atlas of Healthcare Variation
Third Australian Atlas of Healthcare Variation.
Australian Commission on Safety and Quality in Health Care and Australian Institute of Health and Welfare, Sydney: ACSQHC; 2018. p.328
https://safetyandquality.gov.au/atlas/
25:40 DID READ DO READ (DRDR):
Nurse staffing, nursing assistants and hospital mortality:
BMJ Quality & Safety. 2018 [epub].
https://doi.org/10.1136/bmjqs-2018-008043
Licence to swill: James Bond’s drinking over six decades.Wilson N, Tucker A, Heath D, Scarborough P. Medical Journal of Australia. 2018;209(11):495-500.https://doi.org/10.5694/mja18.00947
33:25 LIFE HACK: Jones on the power of contribution in your quality role to reduce stress and burnout. Yes, really!
37:45 FAAAQQS (Frequently asked and answered quality questions): What on earth is PICMoRS (and why do I need to know?)
https://www.youtube.com/watch?v=5AzbI1cGWAY
Dear Jones and Balding,
My quality quandary is that I am required on a regular basis to provide a 15 minute presentation on clinical governance as part of a general orientation program for new staff. What should I include to ensure I capture the hearts and minds of new impressionable staff in just 15 minutes? I thought this may be something you could consider in one of your fabulous podcasts!
Hi Lindy – good to hear from you and to get your question! We will definitely attempt to answer it in Episode #16 – we’ve just recorded #15 so that will be in late May. No doubt many people are in the same boat so we will do our best to come up with something useful!